A case of primary aldosteronism with resistant hypertension successfully treated by unilateral adrenalectomy after unsuccessful classification of subtype in adrenal venous sampling

Ryo Nakamaru; Koichi Yamamoto; Satoko Nozato; Kazuhiro Hongyo; Motonori Nagasawa; Hideharu Hagiya; Futoshi Nakagami; Hiroshi Akasaka; Hitomi Kurinami; Yoichi Takami; Yasushi Takeya; Ken Sugimoto; Takeshi Ujike; Motohide Uemura; Norio Nonomura; Hiromi Rakugi

doi:10.1002/ccr3.2317

A case of primary aldosteronism with resistant hypertension successfully treated by unilateral adrenalectomy after unsuccessful classification of subtype in adrenal venous sampling

Clin Case Rep. 2019 Aug 22;7(10):1895-1899. doi: 10.1002/ccr3.2317. eCollection 2019 Oct.

Authors

Ryo Nakamaru¹, Koichi Yamamoto¹, Satoko Nozato¹, Kazuhiro Hongyo¹, Motonori Nagasawa¹, Hideharu Hagiya¹, Futoshi Nakagami¹, Hiroshi Akasaka¹, Hitomi Kurinami¹, Yoichi Takami¹, Yasushi Takeya¹, Ken Sugimoto¹, Takeshi Ujike², Motohide Uemura², Norio Nonomura², Hiromi Rakugi¹

Affiliations

¹ Department of Geriatric and General Medicine Osaka University Graduate School of Medicine Suita Japan.
² Department of Urology Osaka University Graduate School of Medicine Suita Japan.

Abstract

Despite being an established method to identify the unilateral subtype of primary aldosteronism with an indication of adrenalectomy, adrenal venous sampling sometimes fails primarily due to unsuccessful cannulation to adrenal veins. In such cases, the analysis of clinical findings might help to identify the indication of surgery.

Keywords: adrenal venous sampling; adrenalectomy; hypertension; primary aldosteronism.

Publication types

Case Reports